Type in your information in the blanks provided. Be sure you've spelled everything correctly. What you type is what we will use for your registration. When you are done, click the print button to the rightuse your browser's print function.

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2018 Tiger Tri

Colville Parks and Recreation

Please double check everything before mailing: spelling, birthdate, shirt sizes, etc. It is very important that we know which event you'll be participating in (highlight or circle the event after printing). If you use pen or pencil to fill in the form, please write clearly. Illegible, incorrect, or falsified information could lead to disqualification and removal from results and awards eligibility.

First Name

MI

Last Name

Street Address

City

State/Province

Zip/Postal Code

Birthdate (mm/dd/yy)

Age (day of race)

Gender

Phone Number (daytime)

Email Address (non-business email)

Emergency Contact Name

Emergency Contact Phone

Personal Chip Code (ie: AB12345)(only if you intend to use your own yellow timing chip)

Shirt Size

Team Name (20 characters or less)

Team Division

Swim Team Member

Bike Team Member

Run Team Member

Each participant MUST fill out a separate entry form in it's entirety and sign the waiver. All team entries must be mailed together in one envelope.

WAIVER MUST BE READ, SIGNED AND MAILED WITH ENTRY
I know that participating in an organized athletic event is potentially hazardous, and that I should not enter to participate unless I am medically able and properly trained. I HEREBY ASSUME THE RISKS OF PARTICIPATING IN THIS EVENT. I certify that I am physically fit and that I have sufficiently trained. I agree to abide by the competitive rules. I hereby take the following action for myself, my executors, administrators, heirs, next to kin, successors and assigns, or anyone else who might claim or sue on my behalf, and I hereby waive, release and discharge from any and all claims, losses, or liabilities for death, personal injury, partial or permanent disability, property damage, medical or hospital bills, or theft which may arise out of or relate to my participation in this event. I agree not to sue, and to hold harmless any and all persons, sponsors, volunteers, participants or government agencies for any and all claims or liabilities that I have waived, released or discharges herein. I understand that my email address will be used for other race promotional purposes.I understand that the Entry Fees are Non-Refundable/Non-Transferable.

Signature:

Date:

(Signature of Participant or Parent / Legal Guadian if participant is under the age of 18)